Getting Help

Finding menopause care in Pakistan, the Gulf, the UK, the US and Europe

Dedicated menopause clinics are rare in Pakistan and still new across much of the region. Where to start, and what the guidelines say good care looks like.

You have read the guidelines, you know what to ask, and now you need someone to ask. In much of the region that is the hard part. This page sets out where to start, and what good care looks like once you are in the room.

The words and the guidance

English
Finding menopause care
Also searched as
menopause clinic, menopause doctor
Urdu
مینوپاز کا علاج کہاں ملے
Roman Urdu
menopause ka ilaaj kahan mile
  • The Pakistan Menopause Society's 2026 recommendations list the lack of dedicated menopause clinics among the key challenges shaping menopause care in Pakistan, alongside an early age of menopause, vitamin D deficiency, and stigma and taboos (section 4.1).
  • The same recommendations ask the doctors who manage menopause to identify menopause specialists they can refer complex cases to (Introduction), and list when a referral is needed (section 3.4).
  • NICE NG23 suggests considering a referral to a healthcare professional with expertise in menopause when a woman has symptoms and a reason she cannot take HRT, or when the most suitable treatment is uncertain (recommendation 1.5.26).

What it is

Menopause care is help from a doctor who knows perimenopause and menopause well enough to recognise the symptoms, explain the options and plan a review. It does not have to come from a specialist clinic. For most women it starts with a gynaecologist or a family doctor, and only some need a menopause specialist.

What the guidance lists

In Pakistan

The Pakistan Menopause Society's recommendations are frank about the gaps. They list the lack of dedicated menopause clinics among the key challenges, with an early age of menopause, widespread vitamin D deficiency, a high burden of osteoporosis, and stigma and taboos (section 4.1). They also note that limited availability and licensing of HRT and its alternatives shape what doctors can offer.

The same recommendations are written for gynaecologists and primary care doctors alike, so either is a reasonable first stop. They ask those doctors to identify menopause specialists they can refer complex cases to, and to refer when symptoms are severe or persistent, when HRT cannot be used, when the balance of risks is complex, when early menopause is suspected or when bleeding needs investigating (section 3.4). They also acknowledge cost, suggesting some tests according to age, risk and affordability (Table 4).

The European Menopause and Andropause Society (EMAS) says, in its 2026 framework for menopause care, that video or phone appointments may help women who find a clinic hard to reach because of distance, work or mobility, especially where specialists are scarce.

In the Gulf

We name no clinics in the Gulf states, and we found no public list of menopause doctors there. What we did find are two official registers in the UAE. The Dubai Health Authority's Dubai Medical Registry and the Department of Health Abu Dhabi's Find A Medical Professional search list the doctors licensed in each emirate. Both let you filter by speciality, such as obstetrics and gynaecology or family medicine, and by gender if you would rather see a woman doctor. A register shows that a doctor is licensed. It does not show whether the doctor knows menopause well, and that is what the questions on this page are for.

The Menopause Society's directory, described under the US below, can also be searched by country. When we searched it on 2 October 2026, it listed a few clinicians in the UAE, Saudi Arabia and Bahrain, and none in Qatar, Kuwait or Oman.

Elsewhere in the Gulf, we found no public list from a health authority or a menopause society that we could check. A gynaecologist or a family physician is a reasonable place to start.

In the UK

If you live in the UK, menopause care on the NHS explains the route through your GP and the British Menopause Society's register of specialists.

In the US

The Menopause Society, formerly the North American Menopause Society, runs a free directory called Find a Menopause Practitioner. It lists members and Menopause Society Certified Practitioners (MSCP) who have asked to be included and are taking new patients. You can search by ZIP code, by state for telehealth, or by country. The Society says the list is not complete and that it does not endorse anyone on it.

The 'Pause Life, Dr Mary Claire Haver's company, keeps a Clinicians List built from women's recommendations. Each entry carries a short note from the woman who suggested that clinician, and the list can be searched by country, state and speciality. The site says the list is not a recommendation from Dr Haver or The 'Pause Life.

In Europe

Across Europe, we found two public lists that anyone can use for free.

In Ireland, the HSE, the public health service, names its six specialist complex menopause clinics: the National Maternity Hospital, the Rotunda Hospital, the Coombe Hospital, Cork University Maternity Hospital, University Hospital Galway and the Women's Health Hub at Nenagh General Hospital. Your GP makes the referral, and the HSE says these clinics are for complex cases, for example when treatment has not helped or HRT is not possible.

In the Netherlands, the VVOC, the association of menopause consultants (overgangsconsulenten), has a map of its consultants, in Dutch. The VVOC says its consultants are on the BIG register, the Dutch register of health professionals, and have taken a course recognised by the gynaecologists of the Dutch Menopause Society. Some offer appointments online.

We found no free public list from the menopause societies of Germany, France, Spain or Italy, or from any in the Nordic countries. Anywhere in Europe, a gynaecologist or a family doctor is a reasonable place to start.

What good care looks like, anywhere

You cannot always choose your doctor, but you can recognise good care. The PMS recommendations describe it: open questions, then a checklist that covers every group of symptoms, including the private ones; attention to how symptoms affect sleep, work, family and prayer; risks and benefits explained; and decisions made with you. NICE NG23 asks for a review three months after starting treatment, then once a year (1.9.2). It describes a professional with expertise in menopause as someone with specialist training recognised by a professional body, able to manage complex cases.

Roshara's resources page lists organisations and directories we have checked. We link to the lists on this page to help you look, not to endorse anyone on them, and we cannot vouch for what they say. A list of named doctors across Pakistan and the Gulf is something we are working towards, and we will not publish one until each name has been checked.

When to see a doctor

Do not wait to find the perfect doctor before getting help. Any doctor can start the conversation and check for anything that needs ruling out. The PMS recommendations list red flags that need checking or referral wherever you live: bleeding after menopause, bleeding after sex, a breast lump, chest pain, sudden breathlessness and thoughts of suicide among them (section 2.3).

Questions to ask your doctor

  1. Do you see many women with perimenopause and menopause symptoms?
  2. Which guidelines do you follow for menopause care?
  3. If my case turns out to be complicated, who would you refer me to?
  4. Roughly what will tests and follow-up appointments cost?

Faith and family

Many women prefer a woman doctor, and in some places that narrows the choice further. You can ask whether a female doctor is available when you book, which saves an awkward moment later. If the nearest good clinic is in another city, it may take a family conversation about travel and cost. Preparing for your appointment helps make a long journey count.

Track it

  • Roshara's symptom score rates 27 symptoms in a few minutes, with no account. The total is something to take to your appointment. Take the symptom score
  • Where am I? names the stage you might be in. Six questions. Take Where am I?
  • Log it day by day in the tracker, with what came just before. It needs a free account. Open the tracker

Common questions

Are there menopause clinics in Pakistan?
The Pakistan Menopause Society's recommendations name the lack of dedicated menopause clinics as one of the key challenges in Pakistan (section 4.1). The recommendations are written for gynaecologists and primary care doctors, so either is a reasonable place to start. (Source: Pakistan Menopause Society, Good Clinical Practice Recommendations for Menopause Care in Pakistan (JSOGP 16(2), 28 April 2026))
How do I know whether a doctor is good at menopause care?
The Pakistan Menopause Society's recommendations describe what to expect: questions about every group of symptoms, attention to how they affect your life, risks and benefits explained, and decisions made with you, with a review once treatment starts (sections 2.2 and 3.4). (Source: Pakistan Menopause Society, Good Clinical Practice Recommendations for Menopause Care in Pakistan (JSOGP 16(2), 28 April 2026))

Sources

  1. Pakistan Menopause Society, Good Clinical Practice Recommendations for Menopause Care in Pakistan (JSOGP 16(2), 28 April 2026)Section: Introduction; 2.2; 2.3; 3.3, Table 4; 3.4; 4.1 · Opened 1 October 2026
  2. NICE NG23, Menopause: identification and management (last updated 15 April 2026)Section: 1.5.26; 1.9.2; Terms used in this guideline · Opened 1 October 2026
  3. Dubai Health Authority, Dubai Medical RegistrySection: Professionals: Speciality and Gender filters · Opened 2 October 2026
  4. Department of Health Abu Dhabi, Find A Medical Professional (on TAMM)Section: Profession and Gender filters · Opened 2 October 2026
  5. The Menopause Society, Find a Menopause PractitionerSection: Terms and Conditions and Disclaimer; Search by Country · Opened 2 October 2026
  6. The 'Pause Life, Clinicians ListSection: Clinicians List; Recommend A Clinician · Opened 2 October 2026
  7. HSE, Menopause treatment (page last reviewed 28 July 2025)Section: Further specialist treatment · Opened 2 October 2026
  8. VVOC (Vereniging Van Overgangsconsulenten), ConsulentenSection: Consulenten · Opened 2 October 2026
  9. VVOC (Vereniging Van Overgangsconsulenten), OvergangsconsulentSection: Overgangsconsulent · Opened 2 October 2026
  10. Stute P et al. 'Healthy menopause': the European Menopause and Andropause Society (EMAS) 2026 framework for precision, digital, and interdisciplinary midlife health. Maturitas 2026;212:109060Section: 5. Digital health, artificial intelligence, and governance; 8. Adaptation to resource-constrained settings · Opened 15 October 2026